Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.27 / $45.27 / $45.27	Facility		$45.27	$45.27	$45.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $59.55 / $78.98	Professional		$45.27	$59.55	$78.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $92.80 / $92.80	Professional		$92.80	$92.80	$92.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $132.99	Facility		$92.98	$92.98	$132.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $170.63	Professional		$67.88	$67.88	$170.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $122.35 / $174.22	Professional		$121.49	$122.35	$174.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.87 / $132.99 / $132.99	Professional		$129.87	$132.99	$132.99
United Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $66.34 / $122.09	Professional		$57.36	$66.34	$122.09